Radar on Drug Benefits

If PBMs Need Urgent Reform, Why Aren’t Their Clients Rebelling?

  • Apr 24
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    Apr 24, 2025

    Despite ongoing momentum toward PBM reform at both the state and federal level, many of the clients that hire PBMs — employers, unions, and commercial and government health plans — do not appear to be in a big hurry to fire them. That was one major observation made by Adam Fein, Ph.D., president of Drug Channels Institute (DCI), during a recent webinar titled “PBM Industry Update: Trends, Challenges, and What's Ahead.” 

    “The question I want to challenge you with is, what do the plan sponsors want? Because they’re the ones who, in some sense, are paying the bills,” Fein said during the April 4 webinar.  

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    • Leslie Small

    Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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Lauren Flynn Kelly

Executive Editor, AIS Health, and Managing Editor, Radar on Medicare Advantage

View Lauren Flynn Kelly's Profile

Angela Maas

Managing Editor, Radar on Specialty Pharmacy and Spotlight on Market Access

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Managing Editor, Health Plan Weekly and Radar on Drug Benefits

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Tim Casey

Reporter, Health Plan Weekly and Radar on Drug Benefits

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Carina Belles

Reporter, Radar on Medicare Advantage and Spotlight on Market Access

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Jinghong Chen

Reporter, Health Plan Weekly and Radar on Drug Benefits

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Jill Drachenberg

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PBMs/Pharmacy Benefit Managers
Drug Rebates
Drug Pricing
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Employer Group Health Plans
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